Best Casino in Des Moines Iowa 2026 Rankings
Searching for the best casino in Des Moines? In 2026, Prairie Meadows edges out rivals with 1,500 slots, horse racing, and a 400-room hotel. This Altoona powerhouse delivers unmatched variety and promos.
Compare top spots like Riverside and Grand Falls for slots RTP, dining, and events to pick your winner.
Prairie Meadows: Top Pick
Des Moines' premier with live racing, 50 tables, VIP lounge. $10M+ jackpots in 2026.
- 1,500 slots 90%+ RTP
- Simulcast betting
- Concerts weekly
Riverside Casino: Close Runner-Up
10 mins from DSM airport; river views, arcade, spa.
- 800 slots, poker room
- Golf course attached
- Brunch buffet $25
Grand Falls Casino: Resort Vibes
Larger hotel, waterpark access in 2026 expansion.
- 1,200 machines
- High-limit salon
- Poolside cabanas
Key Comparison Factors
Prairie wins on volume; Riverside on accessibility.
- Promos: Prairie $50 free play signup
- Dining: Grand Falls steakhouses
- Events: All host 2026 fairs